| |
6600 Franklin Ave Ste A7 New Orleans LA 70122-5719 | |
(504) 524-1210 | |
(504) 524-1183 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6600 Franklin Ave Ste A7, New Orleans, Louisiana |
Authorized Official Name and Position | Matilda A Tennessee (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 5045241210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1515 Poydras St Suite 1070 New Orleans LA 70112-3723 Ph: (504) 524-1210 | 6600 Franklin Ave Ste A7 New Orleans LA 70122-5719 Ph: (504) 524-1210 |
NPI Number | 1134440977 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 01/22/2024 |
Medicare PECOS PAC ID | 9830364629 |
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Medicare Enrollment ID | O20111206000462 |
Identifier | Type | State | Issuer |
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1134440977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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